Registration Step 1 of 3

This is the yearly registration form for Tzofim activities in your community. Please read and complete all information about your children in order to join Tzofim activities in North America.

CONSENT, RELEASE AND INDEMNIFICATION

The Parent/guardian signing below (“Parent”) hereby consents and gives permission for Parent’s son/daughter (“Child”) to participate in Tzofim Tzabar weekly activities (the “Event” which term shall include all activities and times during the Event, arrival at and departure from the Event, and early dismissal or expulsion, if any, from the Event) on or about the following date(s) August 2019- September 2020 and any date(s) to which such Event may be postponed.

In addition, The Parent/guardian signing below (“Parent”) hereby consents and gives permission for Parent’s son/daughter (“Child”) to participate in ALLShevet Ofek Special activities and events as listed in the calendar: Shevet Ofek 2019-2020 schedule(the “Event” which term shall include all activities and times during the Event, arrival at and departure from the Event, and early dismissal or expulsion, if any, from the Event) on or about the following date(s) August 2019- September 2020 and any date(s) to which such Event may be postponed. The events calendar includes (but not limited to): DAY TRIPS, ICE SKATING, TRAMPOLINE PARK, OUTDOOR PICNIC, OVERNIGHT CAMPS, END OF THE YEAR EVENT (YOM HaTZOFE), HOLIDAY CELEBRATIONS (PURIM, HANNUKAH), MEMORIAL DAYS CEREMONIES (YOM HaSHOA, YOM HaZIKARON, RABIN) AND CELEBRATE ISRAEL (IAC EVENT).

In case of medical emergency involving Child, if Parent or another parent or guardian of Child cannot be reached, Parent hereby consents and gives permission to the physician selected by the Event Director to secure necessary and appropriate treatment for Child including hospitalization, anesthesia, surgery and any other emergency treatments deemed necessary by the physician. Parent agrees that Friends of Israel Scouts (“FOIS”) is not responsible for any medical expenses incurred by or on behalf of Child, represents that the parent has medical insurance coverage covering the Child’s potential medical expenses, and authorizes FOIS to directly contact and deal with any health insurance company that may provide coverage for Child.

Parent and Child each understand and agree that the Event may include activities involving risk to Child. Parent and Child each represent that Child is in sound physical, mental and emotional health and fully able to participate in all Event activities without need of individualized or specialized attention, accommodation or medical regimen.

Parent and Child each agree that FOIS has the right, in its sole discretion, to determine that Child may not participate in the Event or particular Event activities and, further, in its sole discretion, to determine that Child shall be dismissed or expelled from the Event.

Parent and Child each agree that FOIS may use any photograph, image, likeness, statement or utterance of Child or Parent in any media, including the internet, for promotional or other purposes.

In consideration for Child’s acceptance to participate in the Event, Parent and Child (and Parent on behalf of child), each for themselves, and their heirs, representatives, and next of kin, hereby forever release, waive, discharge and covenant not to sue, and agree to indemnify, defend and hold harmless FOIS and each of their (individually or collectively) affiliates, related entities, officers, directors, employees, volunteers, members, agents and representatives (individually and collectively, “FOIS”) from and with respect to any and all claims, demands, actions, rights of action, and liability, damage, cost, loss and expense (including attorneys’ fees) of any kind whatsoever, past, present and future, both known and unknown, including those which have not yet arisen or matured, either in law or in equity, arising from, related to or in connection with Child’s participation in the Event.

Parent and Child each agree that this and any other agreement related to the Event, and all disputes, issues and matters arising from, related to or in connection with the Event, are to be governed by the laws of the State, without giving effect to principles of conflicts of laws. Parent and Child each hereby consent to the exercise of personal jurisdiction over each of Parent and Child by the courts of the State and the federal court in connection with any matter arising from, related to or in connection with the Event, or this and any other agreement related thereto, and Parent and Child each further agree that such courts shall have exclusive jurisdiction over all such matters. If any term or provision hereof is determined to be invalid by a court of competent jurisdiction, the remaining terms and provisions shall remain unimpaired and in full force and effect.

In the event of a medical emergency, I hereby grant permission to the physician selected by FOIS or authorized representative to secure medical treatment for my child, which treatment may include, but is not limited to, hospitalization, dispensing of medication and/or surgery, as may be deemed appropriate by the physician who is consulted.

I also permit authorized representatives of FOIS to dispense to my child over-the-counter medications (Tylenol, Advil, Midol, cold/cough preparations, Band-Aids, etc.) or emergency medications (Such as Epipen, Asthma Inhaler, etc...) when necessary. I will provide any special instructions or medical issues regarding the dispensing of these types of medications to my child on the registration form.

As part of the FOIS Medical Authorization, I have provided FOIS (above) with a list of any medical conditions and/or allergies which pertain to my child.

Parent and Child each have read, understand and agree to the above terms and conditions.

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I have read the Information above and agree to it

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I authorize my child to participate in Tzofim Tzabar activities

Code of Conduct – Tzofim Tzabar

Parent(s) and Participants Acknowledgment

For the sake of ensuring a safe and successful program experience, Tzofim Tzabar has established a series of rules and disciplinary guidelines that will be closely followed.

We (the parents and children participating in Tzofim Tzabar) understand and acknowledge the need for Tzofim Tzabar to have and enforce rules and regulations. We also understand that there are consequences if a participant fail to abide by the stated rules. We further acknowledge that clicking the boxes where prompted indicates that we have read and agreed to follow the policies and procedures.

We further acknowledge and understand that what is contained in this code of conduct does/may not represent all of the policies, rules, and regulations of Tzofim Tzabar, and we further understand that there are/may be additional rules and regulations that will be made known to the participants.

Each disciplinary situation is evaluated individually, but as a general rule, infractions related to physical violence/bullying, drugs/controlled substances, alcohol, and sexual misconduct are dealt with a zero-tolerance basis. Tzofim Tzabar staff reserves the sole right to make decisions related to behavioral conduct and disciplinary consequences.

Participants and parents acknowledge that they have read the guidelines and agree to behave accordingly.

Drugs

The possession, consumption, purchase, supplying or sale of illegal drugs or narcotics including, but not limited to, marijuana, anti-depressants, and focus medications will not be tolerated on Tzofim Tzabar and will result in immediate dismissal. Tzofim Tzabar reserves the right to search any participant’s belongings at any time and for any reason during the annual activity. Upon determination of a violation by the Tzofim Tzabar staff, the participant’s parents will be contacted, and the participant will be immediately removed from the annual activity. Anybody who is present during any violation of the above policy—even if they themselves did not violated the policy—is subject to disciplinary action, including removal from the annual activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Smoking

Tzofim Tzabar policy does not allow for smoking of any kind by participants regardless of age – including purchasing and/or possession. This policy includes, but is not limited to, electronic cigarettes, water pipes (i.e. hookah pipes), smoking paraphernalia (rolling paper, tobacco), etc. Purchase, use, or possession will result in disciplinary action and confiscation of materials. Parents will be notified of such event by the child at the time of occurrence. Repeated offenses will lead to the participant being immediately removed from the activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Alcohol

Regarding any participant found consuming or in possession of alcoholic beverages (including beer), the participant’s parents will be contacted and the he/she will be immediately removed from the annual activity.

Furthermore, the participants are not permitted in bars or nightclubs where alcoholic beverages are served. Being in such a place is deemed to be the equivalent of having consumed alcoholic beverages. Participants are cautioned to stay away from people drinking or storing alcohol. Being present is considered as if they too have consumed alcohol. Anybody who is present during any violation of the above policy—even if they themselves did not violate the policy—is subject to disciplinary action, including removal from the annual activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Student Conduct

Tzofim Tzabar participants are expected to behave, at all times, in a manner appropriate to an educational and social organization. Unless officially excused, participants are expected to attend and fully participate in all aspects of the activity to the best of his/her ability.

Tzofim Tzabar believes in the unique power of a group experience, as opposed to a collection of individual experiences. As a member of the Tzofim, each participant has a responsibility to treat his/her fellow participants and staff with respect, courtesy, and decency. Participants whose behavior is not within these standards will be subject to disciplinary action. Multiple infractions will lead to the participant being removed from the annual activity, and parents will be contacted. Furthermore, any form of physical, verbal, or cyber violence will lead to immediate disciplinary action and possible removal from the annual activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Sexual Conduct

In an effort to respect the privacy and boundaries of all participants, Tzofim Tzabar does not permit any displays of public affection. Participants are expected to act and dress respectfully at all times and pledge to maintain a safe space (proper language, mutual respect, acceptance, clothing without a violent inscription, etc.) In which all participants feel protected in relation to their identity and sexuality.

Furthermore, no participant may be in the room, tent, or sleeping area of anyone of the opposite gender at any time, for any reason. Infractions will lead to disciplinary action by the Tzofim Tzabar staff and possible dismissal from the activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Respect for Property

It is expected that Tzofim Tzabar participants will behave responsibly and with respect regarding belongings and property throughout the annual activity. Should property be damaged or defaced by a fellow participant, those responsible will be held accountable for payment of damages.

The participant is responsible for all of his/her belongings, including valuables. Tzofim Tzabar strongly advises leaving items of value at home. Tzofim Tzabar takes absolutely no responsibility for any lost, damaged, or stolen property throughout the duration of the annual activity.

Participants and parents acknowledge that they have read the guidelines, and agree to behave accordingly.

Furthermore, if an incident, not specified here, occurs – examination and handling of each case will be at the discretion of Rosh Shevet, Merzkez Shevet and Hanhaga.

Yours faithfully,

Hanhagat Tzabar

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I have read the Information above and agree to it

Participants and parents each acknowledge that they have read the rules and the guidelines as listed in www.shevetofek.com/rules, and agree to behave accordingly.

Parents acknowledge that they have read the registration guidelines and refunds policy as listed in www.shevetofek.com/registration, and agree to terms and conditions.

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I have read the Information above and agree to it

Please print name of Parent/Guardian: *

Date *+

Signature *

clear

How many children are you registering *

Registration Step 2 of 3

Family Information

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Email Address *

Parent 1 Cell Phone *

Parent 2 First Name *

Parent 2 Last Name *

Parent 2 Email Address *

Parent 2 Cell Phone *

Emergency Contact Name *

Emergency Contact Phone *

Participant's address

Address 1 *

Address 2

City *

State *

Zip *

Will you or a family member be able to contribute to our activities as a Doctor, Nurse, Life Guard, Security Coordinator, a cook or have another skill that could be useful for the scouts? Please specify:

If you are interested in contributing and able to give a lecture or a class/workshop to the parents and/or to the Israeli community, we would be happy to accommodate it and offer you a room in JCDS during our weekly activity.

Please write what type of lecture/class/workshop you would like to contribute and your preferred dates/time (we will contact you to schedule a time that works for both sides).

Please note that this lecture/class/workshop should be voluntarily and free of charge to the parents.

Scouts - Israel American Council (IAC) partnership

Israel American Council (IAC) MembershipOur program is kindly supported by the IAC, Israel American Council. IAC and Israeli Scouts shared goal in connecting the next generation to the community, their Jewish identity, the Hebrew language, and the State of Israel is the basis of the strategic partnership between the two organization. Both organizations aim to broaden and deepen this partnership, and expand our impact and outreach to families in the Israeli-American community. Therefore, both organizations agree to share updates on their newsletter and send relevant information to the respective families. By clicking the box below, you acknowledge that you, occasionally, will receive news and updates. *

Yes, I agree

No, I disagree

Registration Step 3 of 3

Child information

First Name *

Last Name *

Gender *

Birth Date *+

School *

Grade *

Medical Allergies *

Child does not have any Medical Allergies

My child has an allergy

Please specify what type of allergy: *

Any Medical Conditions or Concerns

Medications *

My child does not take any medications

My child is taking the following medications:

Please specify which medication and treatments *

Is there anything you'd like to tell us about your child? (e.g. behavioral challenges, school IEP, etc)
This information can help us better support your child during the year. Alternatively - please feel free to reach out to the Scouts leadership to privately discuss issues or concerns.

Health Insurance Company *

Health Insurance Policy # *

Vegetarian *

Yes

No

Other dietary restrictions? Please specify

Vaccination approval *

I hereby declare that my child have received all vaccinations up to date according to the Massachusetts state laws and requirements.

My child has a vaccination exemption

Please specify: *

Khaki Shirt, will be given in the third Peula

Need a new shirt (20$)

Any other important child information

Register second child ?

Second child registeration

First Name *

Last Name *

Gender *

Birth Date *+

School *

Grade *

Medical Allergies *

Child does not have any Medical Allergies

My child has an allergy

Please specify what type of allergy: *

Any Medical Conditions or Concerns

Medications *

Child does not take any Medications

My child is taking the following medications:

Please specify which medication and treatments *

Is there anything you'd like to tell us about your child? (e.g. behavioral challenges, school IEP, etc)
This information can help us better support your child during the year. Alternatively - please feel free to reach out to the Scouts leadership to privately discuss issues or concerns.

Health Insurance Company *

Health Insurance Policy # *

Vegetarian *

Yes

No

Other dietary restrictions? Please specify

Vaccination approval *

I hereby declare that my child have received all vaccinations up to date according to the Massachusetts state laws and requirements.

My child has a vaccination exemption

Please specify: *

Khaki Shirt, will be given in the third Peula

Need a new shirt (20$)

Any other important child information

Register third child ?

Third child registeration

First Name *

Last Name *

Gender *

Birth Date *+

School *

Grade *

Medical Allergies *

Child does not have any Medical Allergies

My child has an allergy

Please specify what type of allergy: *

Any Medical Conditions or Concerns

Medications *

Child does not take any Medications

My child is taking the following medications:

Please specify which medication and treatments *

Is there anything you'd like to tell us about your child? (e.g. behavioral challenges, school IEP, etc)
This information can help us better support your child during the year. Alternatively - please feel free to reach out to the Scouts leadership to privately discuss issues or concerns.

Health Insurance Company *

Health Insurance Policy # *

Vegetarian *

Yes

No

Other dietary restrictions? Please specify

Vaccination approval *

I hereby declare that my child have received all vaccinations up to date according to the Massachusetts state laws and requirements.

My child has a vaccination exemption

Please specify: *

Khaki Shirt, will be given in the third Peula

Need a new shirt (20$)

Any other important child information

Registration cost and donation

Registration for 2019-2020 is $480. Each sibling gets an additional $40 discount.

Early Bird discounts are additional 40$ per child.

Please consider making a donation according to your ability to Shevet Ofek in order to help up enrich our program and support scholarhships. Donations are tax deductible.

I'm willing to sponsor Shevet ofek in return for logos on shirts and events

Payment

Registration payment must be given using Paypal or credit card. For paying using a credit card choose Paypal payment on the next page and follow the directions for credit card payment. Please select the appropriate option in the next page. After paying you can go back to get a receipt with all the values entered on the form.